Question 1
pts
Which approaches are among those recommended by the Agency for
Healthcare Research and Quality to improve health literacy in patients?
(Select all that apply.)
You Answered
Giving written handouts for all teaching
You Answered
Highlighting no more than 7 key points
Correct!
Empowering patients and families
Correct!
Supplementing teaching with visual aids
Correct!
Repeating the instructions
Question 2
pts
The provider sees a child with a history of high fever and sore throat. When
entering the exam room, the provider finds the child sitting in the tripod
position and notes stridor, drooling, and anxiety. What is the initial action for
this patient?
Correct!
Obtain an immediate consultation with an otolaryngologist
Have the child lie down and administer high-flow, humidified oxygen
Administer empiric intravenous antibiotics and steroids
Perform a thorough examination of the oropharynx
,Question 3
pts
During a routine physical examination, a provider notes a shiny, irregular,
painless lesion on the top of one ear auricle and suspects skin cancer. What
will the provider tell the patient about this lesion?
This is most likely malignant.
It is benign and will not need intervention.
Immediate surgery is recommended.
Correct!
A biopsy should be performed.
Question 4
pts
A school-age child has had 5 episodes of tonsillitis in the past year and 2
episodes the previous year. The child’s parent asks the provider if the child
needs a tonsillectomy. What will the provider tell this parent?
Correct!
Current recommendations do not support tonsillectomy for this
child.
If there is one more episode in the next 6 months, a tonsillectomy is
necessary.
The child should have radiographic studies to evaluate the need for
tonsillectomy.
Tonsillectomy is recommended based on this child’s history.
Question 5
pts
,A patient has an initial episode otitis external associated with swimming. The
patient’s ear canal is mildly inflamed and the tympanic membrane is not
involved. Which medication will be ordered?
Fluconazole
Neomycin
Correct!
Cipro HC
Vinegar and alcohol
Question 1
pts
A patient has gingival inflammation with several areas of ulceration and a
small amount of purulent discharge. What is required to diagnose this
condition?
Culture and sensitivity
Microscopic exam of oral scrapings
Correct!
Physical examination
Tzanck smear
Question 2
pts
A patient is suspected of having vestibular neuritis. Which finding on physical
examination is consistent with this diagnosis?
Facial palsy and vertigo
Fluctuating hearing loss and tinnitus
, Correct!
Spontaneous horizontal nystagmus
Vertigo with changes in head position
Question 3
pts
A patient reports a feeling of fullness and pain in both ears and the
practitioner elicits exquisite pain when manipulating the external ear
structures. What is the likely diagnosis?
Correct Answer
Acute otitis externa
You Answered
Acute otitis media
Chronic otitis externa
Otitis media with effusion
Question 4
pts
A patient reports ear pain after being hit in the head with a baseball. The
provider notes a perforated tympanic membrane. What is the recommended
treatment?
Order antibiotic ear drops if signs of infection occur
Prescribe analgesics and follow up in 1 to 2 days
Reassure the patient that this will heal without problems
Correct!
pts
Which approaches are among those recommended by the Agency for
Healthcare Research and Quality to improve health literacy in patients?
(Select all that apply.)
You Answered
Giving written handouts for all teaching
You Answered
Highlighting no more than 7 key points
Correct!
Empowering patients and families
Correct!
Supplementing teaching with visual aids
Correct!
Repeating the instructions
Question 2
pts
The provider sees a child with a history of high fever and sore throat. When
entering the exam room, the provider finds the child sitting in the tripod
position and notes stridor, drooling, and anxiety. What is the initial action for
this patient?
Correct!
Obtain an immediate consultation with an otolaryngologist
Have the child lie down and administer high-flow, humidified oxygen
Administer empiric intravenous antibiotics and steroids
Perform a thorough examination of the oropharynx
,Question 3
pts
During a routine physical examination, a provider notes a shiny, irregular,
painless lesion on the top of one ear auricle and suspects skin cancer. What
will the provider tell the patient about this lesion?
This is most likely malignant.
It is benign and will not need intervention.
Immediate surgery is recommended.
Correct!
A biopsy should be performed.
Question 4
pts
A school-age child has had 5 episodes of tonsillitis in the past year and 2
episodes the previous year. The child’s parent asks the provider if the child
needs a tonsillectomy. What will the provider tell this parent?
Correct!
Current recommendations do not support tonsillectomy for this
child.
If there is one more episode in the next 6 months, a tonsillectomy is
necessary.
The child should have radiographic studies to evaluate the need for
tonsillectomy.
Tonsillectomy is recommended based on this child’s history.
Question 5
pts
,A patient has an initial episode otitis external associated with swimming. The
patient’s ear canal is mildly inflamed and the tympanic membrane is not
involved. Which medication will be ordered?
Fluconazole
Neomycin
Correct!
Cipro HC
Vinegar and alcohol
Question 1
pts
A patient has gingival inflammation with several areas of ulceration and a
small amount of purulent discharge. What is required to diagnose this
condition?
Culture and sensitivity
Microscopic exam of oral scrapings
Correct!
Physical examination
Tzanck smear
Question 2
pts
A patient is suspected of having vestibular neuritis. Which finding on physical
examination is consistent with this diagnosis?
Facial palsy and vertigo
Fluctuating hearing loss and tinnitus
, Correct!
Spontaneous horizontal nystagmus
Vertigo with changes in head position
Question 3
pts
A patient reports a feeling of fullness and pain in both ears and the
practitioner elicits exquisite pain when manipulating the external ear
structures. What is the likely diagnosis?
Correct Answer
Acute otitis externa
You Answered
Acute otitis media
Chronic otitis externa
Otitis media with effusion
Question 4
pts
A patient reports ear pain after being hit in the head with a baseball. The
provider notes a perforated tympanic membrane. What is the recommended
treatment?
Order antibiotic ear drops if signs of infection occur
Prescribe analgesics and follow up in 1 to 2 days
Reassure the patient that this will heal without problems
Correct!
